File:An American text-book of the diseases of children (1895) (14759377946).jpg

Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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ribed as drythe use of the spray, I think, is most important. Feeding of Intubation Cases.—The most difficult portion of the after-treatment of cases of intubation is the satisfactory feeding of the patient.From the interference with the act of deglutition caused by the presence of thetube and the imperfect action of the epiglottis, liquid nourishment is apt topass into the larynx and set up coughing, which interferes with the taking ofa sufficient quantity of nourishment. As many cases in which this operation isemployed require large quantities of food from the nature of the disease forwhich the operation is performed, I think the difficulty of properly nourishingthe patient constitutes the most serious objection to this operation. Children,as a rule, while wearing an intubation-tube, have difficulty in swallowingliquids, but there are occasionally seen cases in which liquids are swallowedwithout difficulty ; therefore it is well to make a trial as to the feeding before PLATE XIII.
Text Appearing After Image:
METHOD OF FEEDING INFANT AFTER INTUBATION, WITH THE HEAD LOWER THAN THE BODY. INTUBATION OF THE LARYNX. 317 ■ special diet is ordered for any individual case. It is remarkable to obshow some children wearing intubation-tubes will Learn to swallow with thetube in place. 1 have Been children who at first irere unable to take liquidnourishment in a fen days change their manner of Bwallowing, so that Liquids could be taken without discomfort. It, upon trial, it is found that there isdifficulty in swallowing liquids, 1 first order a diet of semi-solids, Buch as corn-starch, nm>h. milk-toast, rennet, puddings, soft-boiled £££>• and. as patientsBoon experience thirst, I order for them pieces of ice to be swallowed, or giveenemata of water, an ounce to an ounce and a halt, repeated at intervals. Inyoung children, in whom a milk diet is essential, it will often be found that thechild can swallow well if fed from a nursing-bottle, the head being dropped overthe nurses lap. so that

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